NRCME (DOT) TESTBAK EXAM (2024/2025) ACTUAL 800 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || ALREADY GRADED A+ < LATEST VERSION>
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NRCME
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NRCME
NRCME (DOT) TESTBAK EXAM (2024/2025)
ACTUAL 800 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||
ALREADY GRADED A+ < LATEST VERSION>
1. During his visit to the medical examiner, a driver complains of severe pain
in his finger for the last two weeks after it was ...
NRCME (DOT) TESTBAK EXAM (2024/2025)
ACTUAL 800 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ||
ALREADY GRADED A+ < LATEST VERSION>
BRAND NEW!!
1. During his visit to the medical examiner, a driver complains of severe pain
in his finger for the last two weeks after it was punctured. The exam reveals
an infected, swollen finger. After the ME inquires, the driver states that the
pain is made worse when he grips the steering wheel. Which of the
following should the ME do next?
a. Obtain a hand X-ray
b. Assess capillary refill in the hand
c. Obtain a culture and sensitivity
d. Assess the driver's grip strength - ANSWER ✔ d. Assess the driver's
grip strength
2. A new driver who had a myocardial infarction six months ago is certified
after completing an acceptable exercise tolerance test and is cleared by a
cardiologist. According to FMCSA guidelines, which of the following is
recommended regarding recertification and exercise tolerance test
monitoring intervals?
3. Recertification Exercise; Tolerance Test
a. Every year; Every year
b. Every two years; Every year c. Every year; Every two years
c. Every two years; Every two years - ANSWER ✔ C. Every year;
,4. Every two year
5. Which of the following is true of The Romberg sign:
a. It is a test of proprioception. b. A positive test is an inability to
maintain an erect posture over 60 seconds with eyes closed.
b. BOTH of the above are correct.
c. NEITHER of the above are correct - ANSWER ✔ C. BOTH of the
above are correct
6. Which of the following stages of hypertension calls for a medical certificate
that expires in one year?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4 - ANSWER ✔ a. Stage 1
7. Which of the following is true of psychological disorders in drivers?
a. Drivers with a mood disorder may, during a manic episode, exhibit
grandiosity, impulsiveness, irritability, and aggressiveness
b. Drivers with a mood disorder will exhibit quicker reaction times
during a depressive episode
c. Drivers with an active psychotic disorder will exhibit completely
predictable behavior, accompanied with poor judgment
d. Drivers with personality disorders may exhibit flexibility and adaptive
behaviors with a decreased crash rate - ANSWER ✔ a. Drivers with a
mood disorder may, during a manic episode, exhibit grandiosity,
impulsiveness, irritability, and aggressiveness
8. A driver without a history of hypertension is found to have a blood pressure
of 145/80 mm Hg during the exam. What is the next best step?
a. Qualify the driver for 1 year. b. Obtain a second blood pressure
reading later during the examination
b. Qualify the driver for a 1 time 3-month certificate.
, c. Put the driver in Determination Pending to allow time for a
hypertension evaluation by the PCP - ANSWER ✔ b. Obtain a second
blood pressure reading later during the examination
9. When deciding if a commercial driver should be medically certified, what is
the fundamental question a medical examiner should examine regarding
cardiovascular health?
a. Has the driver ever had a cardiovascular disease?
b. Does his or her family have a history of cardiovascular disease?
c. Does the driver have a cardiovascular disease that increases the risk of
sudden death or incapacitation?
d. What is the likelihood that he or she will contract a cardiovascular
disease? - ANSWER ✔ c. Does the driver have a cardiovascular
disease that increases the risk of sudden death or incapacitation?
10.If a medical examiner uses the number 1 during the physical examination,
the medical examiner is indicating which of the following parts of the body
system?
a. Ears
b. General Appearance
c. Abdomen
d. Heart - ANSWER ✔ b. General Appearance
11.When conducting a vision examination, a driver must have at least what
distant visual acuity in each eye with or without correction?
a. 20/10
b. 20/20
c. 20/40
d. 20/60 - ANSWER ✔ 20/40
12.Which of the following is NOT true regarding the physical examination?
, a. The individual parts of the body system are categorized numerically
b. For each body system, mark "Yes" on the Report Form if
abnormalities are detected, or "No" if the body system is normal
c. There is a maximum height requirement
d. The medical examiner must document all abnormal findings on the
Report Form, even if they are not disqualifying - ANSWER ✔ c.
There is a maximum height requirement
13.Which of the following colors is not necessary to be able to distinguish and
recognize in traffic signals and devices?
a. Blue
b. Green
c. Amber
d. Red - ANSWER ✔ Blue
14.A DOT driver presents for his medical exam. On his history he states that he
regularly takes Dextromethorphan. This should prompt the medical
examiner to:
a. Give a one-year recertification
b. Give a 3-month recertification
c. Counsel the driver about consuming the medication within 12 hours of
driving
d. Disqualify - ANSWER ✔ Counsel the driver about consuming the
medication within 12 hours of driving
15.Which of the following is an assessment of L4 nerve root pathology?
a. Plantar flexion.
b. Patellar reflex.
c. Hip Extension.
d. Hand in pocket paresthesia - ANSWER ✔ Patellar reflex
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